Resumen

LOPERA-MEDINA, Mónica María; MARTINEZ-ESCALANTE, Jorge  y  RAY-EINARSON, Thomas. Access of People with HIV to the Colombian Healthcare System and its Related Costs from an Individual and Family Perspective, Bogotá, 20I0. Rev. Gerenc. Polit. Salud [online]. 2011, vol.10, n.20, pp.81-96. ISSN 1657-7027.

To determine the access to healthcare for HIV patients and the associated costs in Bogotá, we developed a protocol using a mixed design. The quantitative phase comprised a cross-sectional study with a convenience sample of 540 adults with HIV. For the qualitative phase, a phenomenological study with 20 individuals was undertaken. 95% of participants had health insurance, but we found many structural, operative and human failures that imposed barriers to comprehensive treatment, as well as a complicated process to guarantee the rights for health. The direct cost assumed by individuals with HTV or their families was $65,000 COP monthly, representing 11-16% of their income. Indirect costs were 2.2 times higher. Access to healthcare influenced their medical condition as well as the burden of illness in terms of direct and indirect costs.

Palabras clave : health systems; HTV infection; access to health services; cost of illness; out-of-pocket expenses; private expenses in health; basic care assistance plan; equity in health; social security system; ruinous or catastrophic diseases.

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